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At the beginning of laparoscopic surgery, common bile duct (CBD) stones were thought to be a contraindication for laparoscopic cholecystectomy (LC) in the treatment of gallstones. At present, well-trained surgeons remove these stones in relation to LC. CBD stones are often present during laparoscopic cholecystectomy and when these stones are removed choledochoscopically a T-tube has to be inserted. This approach to remove the CBD stones has been documented. Insertion of a T-tube into the CBD is a subject open to discussion, because of one disadvantage when the T-tube is inserted into the CBD, patients stay in the hospital for more than 2 to 3 weeks postoperatively.
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